Sexual function and quality of life in women with urinary incontinence treated by a complete pelvic floor rehabilitation program (biofeedback, functional electrical stimulation, pelvic floor muscles exercises, and vaginal cones)

The Journal of Sexual Medicine
Massimo RivaltaGiampaolo Bianchi

Abstract

Urinary incontinence (UI) is a debilitating condition that can cause discomfort, embarrassment, loss of confidence; it can lead to withdrawal from social life, and adversely affects physical and mental health, sexual function and quality of life (QoL) in women. The aim is to determine the impact of combined pelvic floor rehabilitation (PFR) on UI, female sexual dysfunction, and QoL. Female Sexual Function Index questionnaire (FSFI) and King's Health Questionnaire (KHQ). Sixteen patients with UI were selected and underwent a complete PFR program (biofeedback, functional electrical stimulation, pelvic floor muscles exercises, and vaginal cones). Patient filled out the FSFI questionnaire and the KHQ at the baseline and at follow-up. After PFR none of the patients reported urine leakage during sexual activity. Resolution of incontinence was achieved in 13 (81.25%) women. Only three (18.75%) patients had positive 1-hour pad test after the treatment. There was significant difference between pad test leakage before and after the PFR (P < 0.001). The mean Stamey incontinence score was 1.37 +/- 0.5 at the baseline vs. 0.25 +/- 0.57 at the follow up (P < 0.001). Before PFR, FSFI total score ranged from 25.8 to 2 (mean 14.65 +/- 6.88), af...Continue Reading

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Citations

May 30, 2013·Current Urology Reports·Jaclyn ChenAlan Shindel
Sep 10, 2014·Nature Reviews. Urology·Brigitte FattonPierre Costa
Jul 27, 2010·The Journal of Sexual Medicine·Salim A WehbeKristene Whitmore
May 13, 2015·The Journal of Sexual Medicine·Marjan KhajeheiKay Sauer
Dec 4, 2014·The Journal of Sexual Medicine·Serdar AydınRamazan Dansuk
Aug 19, 2014·Neurourology and Urodynamics·Oriol Porta-RodaFrancisco Muñoz-Garrido
Apr 28, 2012·Physical Therapy·Ying-Chih WangJerome E Mioduski
Jul 12, 2018·Obstetrics and Gynecology·James M WeinbergerJennifer T Anger
May 17, 2011·Female Pelvic Medicine & Reconstructive Surgery·Victoria L HandaHolly E Richter
Jul 10, 2019·International Urogynecology Journal·Fariba GhaderiBary Berghmans
Sep 1, 2011·Journal of Midwifery & Women's Health·Michal Liebergall-WischnitzerAnna Carol Woloski Wruble

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